Individual
MRS. MICHELLE GALLERANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
635 BROAD ST, NEW LONDON, CT 06320-2543
(860) 447-8558
(860) 447-4552
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7364
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007364CT08
ANTHEM BC BS
CT
01
—
080007364CT09
ANTHEM BC BS
CT
01
—
080007364CT10
ANTHEM BC BS
DC
Enumeration date
10/20/2006
Last updated
04/13/2013
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